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. 2009 Apr 15;2009(2):CD001290. doi: 10.1002/14651858.CD001290.pub2

Madge 1997.

Methods STUDY DESIGN: Parallel group randomised controlled trial 
 LOCATION, NUMBER OF CENTRES: Single centre in urban area of UK 
 DURATION OF STUDY: Not reported
Blinding of outcome assessor not described
Participants N SCREENED: 201 
 N RANDOMISED: 201 (treatment: 96; control: 105) 
 N COMPLETED: 201 (hospital data); 129 (questionnaire) 
 M = 124 
 F = 77 
 MEDIAN AGE: 5 
 BASELINE DETAILS: Median (range) number of previous admissions: intervention 2 (0 to 8) control 2 (0 to 19) 
 INCLUSION CRITERIA: >= 2 years admitted to a children's hospital for acute asthma 
 EXCLUSION CRITERIA: Children admitted on a weekend
Interventions EDUCATION GROUP: Type: asthma management training programme by specialist asthma nurse: information (written and interactive); instruction in self‐monitoring of PEF (> 5 years) and/or symptoms; short course of oral steroids with guidance on when to start them; written action plan; 1 review session at nurse‐run asthma clinic and telephone advice after discharge
Parents and children included; delivered during admission and continued at home
Duration: about 45 minutes over 2 to 3 meetings, plus 1 follow‐up clinic visit and telephone advice as required
CONTROL GROUP: Usual care
TREATMENT PERIOD: 2 to 3 weeks 
 FOLLOW‐UP PERIOD: 14 months
Outcomes Hospital admissions, ED visits ‐ measured for between 2 and 14 months from discharge, i.e. AFTER intervention completed. Urgent GP visit within 3 to 4 weeks from discharge. Day and night morbidity scores, disability score ‐ measured at 3 to 4 weeks following discharge, i.e.. AFTER intervention completed.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Drawing cards to allocate each sequential future admission to intervention or control
Allocation concealment? High risk Open list
Incomplete outcome data addressed? 
 All outcomes Low risk Complete for hospital data; available case for other endpoints